Individual provider Active NPI

Leona Yuqun Pan, MD

  • Anesthesiology Physician
  • Parkland, FL
National Provider Identifier
1447244033
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME147124 Issued in FL
Practice address
8760 Lakeview Dr
Parkland, FL 33076-4118
Phone
(914) 319-3135
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 22453-1 NY
Anesthesiology Physician 207L00000X ME147124 FL Primary

Addresses

Primary practice location

8760 Lakeview Dr
Parkland, FL 33076-4118

Mailing address

8760 Lakeview Dr
Parkland, FL 33076-4118
Phone (914) 319-3135

Other practice location 1

967 N Broadway
Department of Anesthesia
Yonkers, NY 10701-1301
Phone (914) 964-4972

Other identifiers 2

IdentifierTypeStateIssuer
01566494MedicaidNY
02387497MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000918 NY Practitioner - Anesthesiology 3274513460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

127 S Broadway
Yonkers, NY 10701-4006
Phone (845) 357-5775

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME147124FLMDAnesthesiology Physician
22453-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kips Bay Endoscopy Center, LLC CurrentSince Feb 1, 2012 Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Jan 20, 2018 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
T.Y. Kim, M.D., P.C. Past Accepting new patients
Valhalla Anesthesia Associates, PC Anesthesiology Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

535 2nd Ave
New York, NY 10016
Phone (212) 447-1609

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Interoperability endpoints

  • Direct secure messaging: lpan3466080@nychhc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1447244033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 LAKEVIEW DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764118",
            "telephone_number": "914-319-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8760 LAKEVIEW DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764118",
            "telephone_number": "914-319-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "967 N Broadway",
            "address_2": "Department of Anesthesia",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011301",
            "country_code": "US",
            "telephone_number": "914-964-4972",
            "fax_number": "914-964-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAN",
        "first_name": "LEONA",
        "middle_name": "YUQUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "22453-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME147124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01566494",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02387497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.